Mechanical versus unipolar hysteroscopic removal of endometrial polyp before intracytoplasmic sperm injection (ICSI)

Abstract

Background: The most common problematic finding in the uterus is endometrial polyps, which are usually benign overgrowth. Aim and objectives: The purpose of this research was to compare the results of hysteroscopic endometrial polyp removal with unipolar electrodes against mechanical removal. Subjects and methods:This was arandomized controlled trials included 40 infertile women with endometrial polyps who visited the infertility clinic at Qena university hospital , south valley university, Egypt. Cases were randomized into two groups
 Group A: 20 patients who will undergo hysteroscopic surgery of endometrial polyps via the unipolar electrodes Group (B):20 patients who undergo surgical treatment via mechanical (scissor) treatment under hystroscopy. Result: The study showed that unipolar electrode have lesser blood loss ,shorter operative time and technically more feasible than the mechanical methode. Outcome in group (A) show that half of the patients had regular menstrual cycle and the majority of them were pregnant. There was 2 (10%) miscarriage and 1 (5.0%) ectopic pregnancy. In group (B) more than half of the patients had irregular menstrual cycle and more than half of them were pregnant. There was 2 (10%) miscarriage and 2 (10.0%) ectopic pregnancy.